Berkey, Diane M

Berkey, Diane M is an individual health care provider with primary practice located at 1410 6Th St Sw , Mason City IA 50401-4818. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Berkey, Diane M can be contacted via phone (641) 424-6704.

Contact Information

Primary practice address
1410 6Th St Sw Mason City IA 50401-4818
Phone: (641) 424-6704
Fax: (641) 424-6709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 061074 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X D061074 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 045177 Illinois

Profile Details

NPI number 1881676534
LBN Legal business name Berkey, Diane M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Feb 8th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881676534 NPPES
Iowa MEDICAID 1881676534

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